Health-and-Nutrition/C2/Hand-expression-of-breastmilk/English-timed - Revision history

Debosmita at 07:54, 6 March 2020

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Sandhya.np14 at 11:39, 9 May 2019

2019-05-09T11:39:55Z

Sandhya.np14 at 11:34, 9 May 2019

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PoojaMoolya: Created page with " {|border=1 | Time |Narration |- |00:01 | Welcome to the '''Spoken Tutorial''' on hand expression of breastmilk. |- |00:06 |In this tutori..."

2019-05-01T06:09:42Z

Created page with " {|border=1 | <center>Time</center> |<center>Narration</center> |- |00:01 | Welcome to the '''Spoken Tutorial''' on hand expression of breastmilk. |- |00:06 |In this tutori..."

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{|border=1
| <center>Time</center>
|<center>Narration</center>

|-
|00:01
| Welcome to the '''Spoken Tutorial''' on hand expression of breastmilk.

|-
|00:06
|In this tutorial we will learn, Benefits of expressing breastmilk

|-
|00:11
|How to express breastmilk by hand and

|-
|00:15
| How often should a mother express breastmilk

|-
|00:20
|Breastmilk expression is useful to relieve breast engorgement;

|-
|00:25
|To treat nipple soreness and dry skin on the dark area around the nipple;

|-
|00:31
|To feed a baby if mother’s sore nipple is extremely painful while latching

|-
|00:38
|To increase or maintain mother’s breastmilk supply;

|-
|00:42
|To keep breastmilk available for a baby when the mother goes out or to work;

|-
|00:49
| To help a baby to attach to a full breast by softening the dark area around the nipple;

|-
|00:56
|To check whether the baby has fed from one breast completely before offering the other breast.

|-
|01:05
|To make nutritious complementary food for a baby by -

using breastmilk instead of water or cow’s milk

|-
|01:14
| And to help in feeding milk to - Premature babies

|-
|01:18
| Sick babies

|-
|01:20
| Babies with poor muscle tone

|-
|01:22
| Babies with cleft lip and/or palate and

|-
|01:27
| Babies who have difficulty in latching deeply to the breast

|-
|01:32
|Now, let’s learn how to express breastmilk.

|-
|01:37
|The most recommended way for a mother to express breastmilk is by using her hand.

|-
|01:44
|Because this method causes less discomfort to the dark area around the nipple.

|-
|01:51
| Also, this method needs no appliance.

So the mother can do it anywhere and at any time.

|-
|02:00
|Expressing breastmilk by hand is a learned skill and will improve with practice.

|-
|02:08
|It is easy to hand express breast milk when the breasts are soft.

|-
|02:13
|Therefore, a mother should learn this skill on the first or second day after delivery.

|-
|02:21
|Before expressing breastmilk, Mother should have a steel or glass container ready to collect the expressed milk.

|-
| 02:29
|She should choose a cup, glass, jug or jar with a wide mouth.

|-
|02:36
|She should wash the chosen container with soap and water.

|-
|02:41
|After that, she should either - keep the container in boiling water or

pour boiling water into the container and leave it for a few minutes.

|-
|02:52
|Then, she should either air dry the container completely

Or wipe it dry with an unused clean cloth

|-
|03:02
|The container should never be dried with a used cloth such as a used kitchen cloth.

|-
|03:10
|After the clean container is dried completely, next step is to release breastmilk from the breast.

|-
|03:17
|To help her milk flow, the mother should feel relaxed and emotionally connected to her baby.

|-
|03:26
|Mother can try the following:

She can sit quietly and privately or with a supportive friend.

|-
|03:34
|Some mothers can express easily in a group of other mothers who are also expressing breastmilk.

|-
|03:41
| She can hold her baby on her lap with skin-to-skin contact.

|-
|03:46
|Or she can look at her baby or hear her baby’s voice.

|-
|03:53
| Sometimes-even looking at a photograph of her baby or smelling her baby’s clothing helps.

|-
|04:00
|She can take a warm soothing drink, but

the drink should not be coffee, strong tea, alcohol or any stimulant.

|-
|04:12
| She can also warm her breasts to help her milk flow.

|-
|04:17
| To warm her breasts, she can apply a cloth soaked in hot water to her breasts,

or have a warm water bath.

|-
|04:28
|She can stimulate her nipples and the dark area around them by-

gently pulling

or rolling them with her fingers.

|-
|04:38
|She can massage her breasts lightly using circular movements.

|-
|04:44
|Mother can ask a helper to rub her back.

|-
|04:47
|For the back rub, the mother should-

sit down,

lean forward,

|-
|04:53
| fold her arms on a table in front of her and

rest her head on her arms.

|-
|05:01
|Her breasts should be unclothed and hanging loose.

|-
|05:07
|The helper should rub down both sides of the mother's spine.

|-
|05:12
|She should use her closed fist with her thumbs pointing forward.

|-
|05:17
|She should press firmly making small circular movements with her thumbs.

|-
|05:25
|She should -work down both sides of the spine at the same time from the neck to the shoulder blades.

|-
|05:34
|She should do this for two or three minutes.

|-
|05:38
|All these steps will help in releasing the breastmilk.

|-
|05:43
|This release of breastmilk is called '''Oxytocin reflex''' or '''let down reflex'''.

|-
|05:51
|After the '''Oxytocin reflex''' begins, the mother must wash and dry her hands thoroughly.

|-
|05:59
|Then, the mother should sit comfortably.

|-
|06:04
|She should lean forward slightly.

|-
|06:07
|She should hold the container near her breast.

|-
|06:11
|Now, she should place her thumb and fingers on the breast in a C shape hold from the side.

|-
|06:20
| She can use either hand for holding either breast.

And she can switch to the other hand when the first one tires.

|-
|06:29
|While holding the breast, her thumb should be on the upper part of the breast.

|-
|06:35
|And her fingers should be placed opposite to the thumb on the lower part of the breast.

|-
|06:42
|Her thumb, nipple and fingers should always be in a straight line.

|-
|06:48
|And the nipple should be in the middle of the thumb and the index finger.

|-
|06:54
|There should be a distance of 2 fingers between-

the nipple and her thumb and

the nipple and her fingers.

|-
|07:04
|If the fingers are too close to the nipple, the milk may not flow for long.

|-
|07:10
|Mother will release more milk when-

she compresses the milk ducts beneath the dark area around the nipple.

|-
|07:19
|In this picture, the mother is holding her right breast correctly with her right hand.

|-
|07:27
|Now, she should Press the breast slightly inwards towards the chest wall by applying steady pressure.

|-
|07:36
|Then, without moving the hand gently compress the breast between the thumb and the fingers.

|-
|07:44
|And then, release the pressure on the breast.

|-
|07:48
|The mother should repeat these 3 steps-

Press back, Compress, And release.

|-
|07:56
|The first step of pressing back towards the chest wall is an important step.

|-
|08:02
|Pressing only towards the nipple will give very little milk.

|-
|08:07
|But when the breast is pressed back, milk from the dense breast tissue is released.

|-
|08:15
|But, avoid pressing too far back, because that can block the milk ducts.

|-
|08:23
|When the mother starts expressing breastmilk by hand very few drops of milk may come out at first.

|-
|08:30
| As the '''let down reflex''' starts, milk starts to drip out.

|-
|08:36
|In the first few attempts, it is common for the milk to drip out or come slowly.

|-
|08:42
| Later, breastmilk may flow in streams

as with breastfeeding, expressing breastmilk is a skill that comes with practice.

|-
|08:53
|Colostrum, the first milk after birth, may only come in drops but is enough for the newborn.

|-
|09:01
| The thick, often yellow milk, has enormous protective benefits for the baby.

|-
|09:08
|The mother should repeat the 3 steps until the flow of milk slows down to a drip again.

|-
|09:16
|Then, she should reposition her fingers to express milk from other parts of the breast.

|-
|09:23
|She can feel for where the breast seems fuller, and compress those areas.

|-
|09:30
|She should express milk from one breast for at least 3 to 5 minutes until the milk flow slows down.

|-
|09:38
|Then, she should express milk from the other breast in the same way from all the areas.

|-
|09:45
|And then again express milk from both breasts a second time.

|-
|09:51
| Expressing breastmilk from both breasts adequately takes 20 to 30 minutes.

|-
|09:57
| It may take more time, especially in the first few days

As in those days, only a little milk may be produced.

|-
|10:07
|It is important not to try to express in a shorter time.

|-
|10:12
|Remember,Expressing breastmilk by hand should not hurt.

If it hurts, the technique is wrong.

|-
|10:21
| Breast tissue is delicate.

|-
|10:24
| Avoid rubbing, sliding or pulling the fingers along the skin, towards the nipple.

This can cause breast soreness.

|-
|10:36
|Avoid tightening or stretching the skin over the dark area around the nipple.

|-
|10:42
| Also, avoid squeezing or pulling the nipple.

|-
|10:46
| Pressing or pulling the nipple cannot express enough milk.

|-
|10:51
| It is the same as the baby sucking only the nipple.

|-
|10:57
|After expressing breastmilk the mother should cover the container with a clean cloth or plate.

|-
|11:04
|Then, she should store her breastmilk safely for later use.

|-
|11:09
|Safe storage of breastmilk and feeding stored breastmilk to the baby are explained in another tutorial.

|-
|11:19
|Let’s now discuss how often a mother should express milk.

|-
|11:24
|If the purpose is to initiate and maintain breastmilk production

Or to feed a low birth weight baby or sick newborn baby, then-

|-
|11:35
|She should express milk as soon as possible after delivery.

|-
|11:40
| She may only express a few drops of Colostrum at first.

|-
|11:45
| This helps breastmilk production to begin

|-
|11:48
| It acts similar to a baby suckling soon after delivery.

|-
|11:54
| The mother should express as much as she can

And as often as her baby would breastfeed.

|-
|12:02
| This should be at least every 2 to 3 hours, including during the night.

|-
|12:08
| If there are long intervals between expressions, she may not be able to produce enough milk.

|-
|12:16
|Next, if the purpose is to build up mother’s milk supply -

And if it seems to be decreasing after a few weeks:

|-
|12:25
| She should express breastmilk every 1 to 2 hours immediately after breastfeeding the baby and

|-
|12:33
| if the baby is expected to sleep for more than 3 hours, then she can express in between feeds.

|-
|12:43
|If the purpose is to relieve symptoms such as engorgement, or leaking of breastmilk at work:

The mother should express only as much as is necessary.

|-
|12:53
|If the purpose is to keep nipple skin healthy:

The mother should express a small drop of breastmilk to rub on her nipple.

|-
|13:02
| She should do this after a bath and after breastfeeding.

|-
|13:07
|If the purpose is to keep milk for her baby while the mother is out at work:

|-
|13:14
| The mother should express milk while at work to help keep up the supply.

|-
|13:20
| And the mother should express breastmilk before going to work

and leave it for the carer to give to the baby.

|-
|13:29
|For doing this - Mother can plan few weeks ahead if she has a fridge.

|-
|13:34
| She can express extra milk and store it for later use.

|-
|13:39
| Mother can express even after the baby has breastfed.

|-
|13:44
|Mother should leave about 60 to 90 milliliters of milk for each feed

|-
|13:51
|More breastmilk can be given as per baby’s need while mother is away.

|-
|13:57
|Remember, The more frequent hand expression is used- the easier it becomes to express milk,

the faster the milk releases

|-
|14:07
|And the more milk mother will make.

|-
|14:11
|This brings us to the end of this tutorial. Thank you for joining.

|}

@@ Line 5: / Line 5: @@
 |-
-|00:01
+|00:00
 | Welcome to the '''Spoken Tutorial''' on '''Hand expression of breastmilk'''.
@@ Line 13: / Line 13: @@
 |-
-|00:11
+|00:12
 |how to express breastmilk by hand and
@@ Line 45: / Line 45: @@
 |-
-|00:56
+|00:57
 |to check whether the baby has fed from one breast completely before offering the other breast,
@@ Line 110: / Line 110: @@
 |-
 |02:36
-|She should wash the chosen container with soap and water.
+|She should wash the chosen container in soap and water.
 |-
@@ Line 121: / Line 121: @@
 |-
-|03:02
+|03:01
 |The container should never be dried with a used cloth such as a used kitchen cloth.
@@ Line 213: / Line 213: @@
 |-
-|05:25
+|05:24
 |She should work down both sides of the spine at the same time from the neck to the shoulder blades.
@@ Line 351: / Line 351: @@
 |-
-|09:16
+|09:15
 |Then she should re-position her fingers to express milk from other parts of the breast.
@@ Line 421: / Line 421: @@
 |-
 |11:09
-|Safe storage of breastmilk  and feeding stored breastmilk to the baby are explained in another tutorial.
+|Safe storage of breastmilk and feeding stored breastmilk to the baby are explained in another tutorial.
 |-
@@ Line 474: / Line 474: @@
 |-
-|12:43
+|12:42
 |If the purpose is to relieve symptoms such as engorgement or leaking of breastmilk at work:
@@ Line 531: / Line 531: @@
 |-
 |14:11
-|This brings us to the end of this tutorial. Thank you for joining.
+|This brings us to the end of this tutorial.
 |}

@@ Line 86: / Line 86: @@
 |-
 |01:51
-| Also, this method needs no appliance.
+| Also, this method needs no appliance. So the mother can do it anywhere and at any time.
-−
 So the mother can do it anywhere and at any time.
 |-
@@ Line 217: / Line 215: @@
 |05:25
 |She should work down both sides of the spine at the same time from the neck to the shoulder blades.
 |-
@@ Line 253: / Line 250: @@
 |-
 |06:20
-| She can use either hand for holding either breast.
+| She can use either hand for holding either breast. And, she can switch to the other hand when the first one tires.
-−
 And she can switch to the other hand when the first one tires.
 |-
@@ Line 357: / Line 352: @@
 |-
 |09:16
-|Then she should reposition her fingers to express milk from other parts of the breast.
+|Then she should re-position her fingers to express milk from other parts of the breast.
 |-
@@ Line 381: / Line 376: @@
 |-
 |09:57
-| It may take more time, especially in the first few days.
+| It may take more time, especially in the first few days. As in those days, only a little milk may be produced.
-−
 As in those days, only a little milk may be produced.
 |-
@@ Line 400: / Line 393: @@
 |10:24
 | Avoid rubbing, sliding or pulling the fingers along the skin, towards the nipple.
 This can cause breast soreness.

@@ Line 341: / Line 341: @@
 |-
 |08:42
-| Later, breastmilk may flow in streams as with breastfeeding, expressing breastmilk is a skill that comes with practice.
+| Later, breastmilk may flow in streams. As with breastfeeding, expressing breastmilk is a skill that comes with practice.
 |-
 |08:53
-|Colostrum, the first milk after birth, may only come in drops but is enough for the newborn.
+|'''Colostrum''', the first milk after birth, may only come in drops but is enough for the newborn.
 |-
 |09:01
-| The thick, often yellow milk, has enormous protective benefits for the baby.
+| The thick, often yellow, milk has enormous protective benefits for the baby.
 |-
@@ Line 357: / Line 357: @@
 |-
 |09:16
-|Then, she should reposition her fingers to express milk from other parts of the breast.
+|Then she should reposition her fingers to express milk from other parts of the breast.
 |-
 |09:23
-|She can feel for where the breast seems fuller, and compress those areas.
+|She can feel for where the breast seems fuller and compress those areas.
 |-
@@ Line 369: / Line 369: @@
 |-
 |09:38
-|Then, she should express milk from the other breast in the same way from all the areas.
+|Then she should express milk from the other breast in the same way from all the areas.
 |-
 |09:45
-|And then again express milk from both breasts a second time.
+|And then, again express milk from both breasts a second time.
 |-
@@ Line 381: / Line 381: @@
 |-
 |09:57
-| It may take more time, especially in the first few days
+| It may take more time, especially in the first few days.
 As in those days, only a little milk may be produced.
@@ Line 391: / Line 391: @@
 |-
 |10:12
-|Remember,Expressing breastmilk by hand should not hurt.
+|Remember, expressing breastmilk by hand should not hurt. If it hurts, the technique is wrong.
-−
 If it hurts, the technique is wrong.
 |-
@@ Line 423: / Line 421: @@
 |-
 |10:57
-|After expressing breastmilk the mother should cover the container with a clean cloth or plate.
+|After expressing breastmilk, the mother should cover the container with a clean cloth or plate.
 |-
 |11:04
-|Then, she should store her breastmilk safely for later use.
+|Then, she should store her breast milk safely for later use.
 |-
@@ Line 439: / Line 437: @@
 |-
 |11:24
-|If the purpose is to initiate and maintain breastmilk production
+|If the purpose is to initiate and maintain breast milk production
 Or to feed a low birth weight baby or sick newborn baby, then-
@@ Line 445: / Line 443: @@
 |-
 |11:35
-|She should express milk as soon as possible after delivery.
+|she should express milk as soon as possible after delivery.
 |-
 |11:40
-| She may only express a few drops of Colostrum at first.
+| She may only express a few drops of '''Colostrum''' at first.
 |-
 |11:45
-| This helps breastmilk production to begin
+| This helps breastmilk production to begin.
 |-
@@ Line 461: / Line 459: @@
 |-
 |11:54
-| The mother should express as much as she can
+| The mother should express as much as she can and as often as her baby would breastfeed.
-−
-And as often as her baby would breastfeed.
 |-
@@ Line 475: / Line 471: @@
 |-
 |12:16
-|Next, if the purpose is to build up mother’s milk supply -
+|Next, if the purpose is to build up mother’s milk supply and if it seems to be decreasing after a few weeks:
-−
-And if it seems to be decreasing after a few weeks:
 |-
 |12:25
-| She should express breastmilk every 1 to 2 hours immediately after breastfeeding the baby and
+| she should express breastmilk every 1 to 2 hours immediately after breastfeeding the baby and
 |-
@@ Line 489: / Line 483: @@
 |-
 |12:43
-|If the purpose is to relieve symptoms such as engorgement, or leaking of breastmilk at work:
+|If the purpose is to relieve symptoms such as engorgement or leaking of breastmilk at work:
-The mother should express only as much as is necessary.
+the mother should express only as much as is necessary.
 |-
@@ Line 497: / Line 491: @@
 |If the purpose is to keep nipple skin healthy:
-The mother should express a small drop of breastmilk to rub on her nipple.
+the mother should express a small drop of breastmilk to rub on her nipple.
 |-
@@ Line 509: / Line 503: @@
 |-
 |13:14
-| The mother should express milk while at work to help keep up the supply.
+| the mother should express milk while at work to help keep up the supply.
 |-
 |13:20
-| And the mother should express breastmilk before going to work
+| And, the mother should express breastmilk before going to work and leave it for the carer to give to the baby.
-−
 and leave it for the carer to give to the baby.
 |-
 |13:29
-|For doing this - Mother can plan few weeks ahead if she has a fridge.
+|For doing this - mother can plan few weeks ahead if she has a fridge.
 |-
@@ Line 531: / Line 523: @@
 |-
 |13:44
-|Mother should leave about 60 to 90 milliliters of milk for each feed
+|Mother should leave about 60 to 90 milliliters of milk for each feed.
 |-
@@ Line 539: / Line 531: @@
 |-
 |13:57
-|Remember, The more frequent hand expression is used- the easier it becomes to express milk,
+|Remember- the more frequent hand expression is used, the easier it becomes to express milk, the faster the milk releases.
-−
 the faster the milk releases
 |-
 |14:07
-|And the more milk mother will make.
+|And, the more milk mother will make.
 |-